How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $48.98 Typical High $48.98 | Professional | None | $40.74 | $48.98 | $48.98 |
BCBS Minnesota Setting Facility Modifier None Typical Low $69.18 Median $104.71 Typical High $138.04 | Facility | None | $69.18 | $104.71 | $138.04 |
BCBS Minnesota Setting Professional Modifier None Typical Low $56.23 Median $69.18 Typical High $69.18 | Professional | None | $56.23 | $69.18 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $70.79 Typical High $95.50 | Facility | None | $34.67 | $70.79 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $28.18 Typical High $33.88 | Professional | None | $26.92 | $28.18 | $33.88 |
Health Partners Setting Facility Modifier None Typical Low $26.92 Median $66.07 Typical High $100.00 | Facility | None | $26.92 | $66.07 | $100.00 |
Health Partners Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
Medica Setting Facility Modifier None Typical Low $28.18 Median $30.20 Typical High $83.18 | Facility | None | $28.18 | $30.20 | $83.18 |
Medica Setting Professional Modifier None Typical Low $28.84 Median $70.79 Typical High $95.50 | Professional | None | $28.84 | $70.79 | $95.50 |
United Setting Professional Modifier None Typical Low $28.84 Median $70.79 Typical High $104.71 | Professional | None | $28.84 | $70.79 | $104.71 |
8 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $24.55 Median $24.55 Typical High $24.55 | Facility | 52 · Reduced service | $24.55 | $24.55 | $24.55 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.77 Median $9.77 Typical High $9.77 | Facility | 53 · Discontinued | $9.77 | $9.77 | $9.77 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $7.41 Median $7.41 Typical High $7.41 | Facility | 55 · Aftercare only | $7.41 | $7.41 | $7.41 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.90 Median $4.90 Typical High $4.90 | Facility | 56 · Pre-op care only | $4.90 | $4.90 | $4.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.95 Median $24.55 Typical High $24.55 | Professional | 52 · Reduced service | $19.95 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $9.77 Typical High $9.77 | Professional | 53 · Discontinued | $8.13 | $9.77 | $9.77 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.03 Median $7.41 Typical High $7.41 | Professional | 55 · Aftercare only | $6.03 | $7.41 | $7.41 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $4.90 Typical High $4.90 | Professional | 56 · Pre-op care only | $4.07 | $4.90 | $4.90 |
Where Minnesota sits
The same service costs 3.1 times more in Wisconsin than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Minnesota· 8th of 51
$63.10
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.